Support worker

Availability Form

Please complete the form below to advise your general availability – please call a coordinator or our office if you have any queries

Full Name

Email Address

Phone Number

Which of the following types of support are you able to complete?

Individual Support After School Care Holiday Program Support in Groups Support at Pandanus House Support in the Participant’s home Support in your own home Overnight Support

Please advise the days of the week you are able to work (generally):

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Are you able to work early mornings (before 9:00am)? If yes, please advise on which days:

Are you able to work late afternoons/evenings (after 5:00pm)? If yes, please advise on which days:

Are you able to work overnight? If yes, please advise on which days:

Please provide any other information relevant to the days and times you are available to work:

Are you interested in being a Team Leader on group programs?

Yes No

Do you have a preferred work location or region? (please note - due to client needs, we may not always be able to accommodate these preferences)

Are you prepared to transport participants in your own vehicle?

Yes No

Are you prepared to transport participants in an Inclusion Plus vehicle? (please note – driver training will be provided)

Yes No

Is there any other information you would like to provide about your availability?

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